Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.26 / $2,541.87 / $13,168.11	Facility		$402.26	$2,541.87	$13,168.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $402.26 / $6,380.80	Professional		$279.85	$402.26	$6,380.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.39 / $295.39 / $369.23	Professional		$295.39	$295.39	$369.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.85 / $339.66 / $628.30	Professional		$127.85	$339.66	$628.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $266.44 / $334.17 / $446.47	Facility		$266.44	$334.17	$446.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.10 / $314.39 / $816.60	Professional		$257.10	$314.39	$816.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $319.72 / $420.56 / $658.87	Facility		$319.72	$420.56	$658.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $235.93 / $344.75 / $659.97	Professional		$235.93	$344.75	$659.97
United Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $316.23 / $816.60	Professional		$279.85	$316.23	$816.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $266.44 / $266.44 / $266.44	Facility		$266.44	$266.44	$266.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $266.44 / $266.44	Professional		$266.44	$266.44	$266.44